{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:38:09Z","timestamp":1785382689970,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T00:00:00Z","timestamp":1559174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the feasibility of implementing a high\u2010risk <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> (hr<jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>) <jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content>\u2010based screening program for cervical cancer and the prevalence of hr<jats:styled-content style=\"fixed-case\">HPV DNA<\/jats:styled-content>\u2010positive women in a community setting in rural India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted at the community level in the Hunsur <jats:italic>taluk<\/jats:italic> of the Mysore district from January to August 2016. Cervical cancer screening was conducted with self\u2010collected vaginal samples that were analyzed using the Hybrid Capture 2 (<jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>2) assay (Qiagen, <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of participants were aged 30\u201339\u00a0years, with no formal schooling, from a lower caste, and lived below an annual household income of <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>$1499. After group health education and one\u2010on\u2010one counseling, a total of 473 women underwent self\u2010sampling. Of these, 36 (7.6%) were positive for hr<jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> and only 24 (66.6%) underwent follow\u2010up diagnostic triaging. Cancer was detected in two women, who were referred to appropriate healthcare facilities for further treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of hr<jats:styled-content style=\"fixed-case\">HPV DNA<\/jats:styled-content>\u2010based screening tests using self\u2010sampling can be feasible in rural settings in India. However, substantial resources are required for providing health education and one\u2010on\u2010one counseling to inform asymptomatic women about the benefits of testing and, more importantly, to improve compliance with follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12859","type":"journal-article","created":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T14:49:58Z","timestamp":1557499798000},"page":"170-176","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["A community\u2010based, cross\u2010sectional study of hr<scp>HPV DNA<\/scp> self\u2010sampling\u2010based cervical cancer screening in rural Karnataka, India"],"prefix":"10.1002","volume":"146","author":[{"given":"Prajakta","family":"Adsul","sequence":"first","affiliation":[{"name":"Implementation Science team Division of Cancer Control and Population Sciences National Cancer Institute  Rockville MD USA"},{"name":"Public Health Research Institute of India  Mysore Karnataka India"},{"name":"Department of Epidemiology Stempel College of Public Health Florida International University  Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Srinivas","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savitha","family":"Gowda","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivamma","family":"Nayaka","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Pramathesh","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavitha","family":"Chandrappa","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisa","family":"Khan","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poornima","family":"Jayakrishna","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purnima","family":"Madhivanan","sequence":"additional","affiliation":[{"name":"Public Health Research Institute of India  Mysore Karnataka India"},{"name":"Department of Epidemiology Stempel College of Public Health Florida International University  Miami FL USA"},{"name":"Department of Health Promotion Sciences Mel &amp; Enid Zuckerman College of Public Health University of Arizona  Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29210"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70605-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62218-7"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808516"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050132"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.06.031195"},{"key":"e_1_2_8_8_1","first-page":"205","article-title":"Cervical cancer screening: Current knowledge & practice among women in a rural population of Kerala, India","volume":"136","author":"Aswathy S","year":"2012","journal-title":"Indian J Med Res"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2017.06.008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/152460902753668466"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70570-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03405681"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25974"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31795-0"},{"key":"e_1_2_8_15_1","unstructured":"Registrar General I.Census of India 2011: provisional population totals\u2010India data sheet. 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